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Oklahoma rates for HCPCS 50580

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $977.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,288.25 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,187.76 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $954.99